DOROTHY JONES – iHUMAN VIRTUAL FULL ASSIGNMENT
(Complete Study Guide | History Questions, Ddx, Mnm, Tests, Management Plan)
NR509 / NR511 | CHAMBERLAIN UNIVERSITY | 2025-2026 UPDATED
CASE OVERVIEW
Patient: Dorothy Jones
Age: 54 years (alternate case version)
Sex: Female
Setting: Emergency Department / Outpatient Clinic
Chief Complaint: Right upper quadrant abdominal pain radiating to back, nausea, vomiting, fatty food
intolerance
VITAL SIGNS & DEMOGRAPHICS
Parameter Value
Age 68 years
1|Page
,Height 5'6" (168 cm)
Weight 165 lb (75 kg)
BMI 26.7 (overweight)
Blood Pressure 142/88 mmHg (elevated)
Heart Rate 92-105 bpm (tachycardic)
Respiratory Rate 18 breaths/min
Temperature 99.2°F (37.3°C) (low-grade fever)
SpO₂ 98% on room air
PAST MEDICAL HISTORY (PMH)
Condition Status
Hypertension Longstanding
Type 2 Diabetes Mellitus Present
Hyperlipidemia Present
Gallstones History of, gallbladder intact
PAST SURGICAL HISTORY (PSH)
Procedure Time Frame
Hysterectomy with fibroid removal 2 years ago
Cholecystectomy (gallbladder removal) 15 years ago (note: this creates discrepancy with "gallbladder
intact" in some versions)
MEDICATIONS
Medication Dose Purpose
Lisinopril 20 mg daily Hypertension
Atorvastatin 40 mg daily Hyperlipidemia
Metformin 1000 mg BID Type 2 diabetes
Aspirin 81 mg daily Antiplatelet
Citrucel As needed Fiber supplement
Omeprazole 20 mg daily GERD (some versions)
2|Page
, Allergies: No known drug allergies
SOCIAL HISTORY
Factor Details
Smoking Former smoker (0.5 pack/day for 20 years, quit 15 years ago)
Alcohol Occasional at social events
Lifestyle Sedentary
HISTORY OF PRESENT ILLNESS (HPI) – COMPLETE Q&A
OPEN-ENDED QUESTIONS (Start Here)
Question Expected Response Clinical Significance
"How can I help you today?" / "What brings you to the clinic?" "My stomach hurts. It started 2 days ago
after dinner and has gotten worse." Establishes chief complaint; sudden onset suggests acute process
"Do you have any other symptoms or concerns we should discuss?" "I've thrown up some too."
Identifies associated symptoms (nausea/vomiting)
"What symptom is the most distressing for you?" "The pain. It just won't go away."
Prioritizes the pain as primary concern
OLD-CARTS QUESTIONS FOR ABDOMINAL PAIN
ONSET
Question Expected Response
"When did your abdominal pain start?" "2 days ago. It came on suddenly after dinner."
"What were you doing when the pain started?" "I had just finished eating a fatty meal."
LOCATION
Question Expected Response
"Where exactly is the pain located?" "In the middle of my abdomen around the belly button, but now
it's more on the right side."
"Does the pain go anywhere else?" "It goes to my back."
DURATION
3|Page
(Complete Study Guide | History Questions, Ddx, Mnm, Tests, Management Plan)
NR509 / NR511 | CHAMBERLAIN UNIVERSITY | 2025-2026 UPDATED
CASE OVERVIEW
Patient: Dorothy Jones
Age: 54 years (alternate case version)
Sex: Female
Setting: Emergency Department / Outpatient Clinic
Chief Complaint: Right upper quadrant abdominal pain radiating to back, nausea, vomiting, fatty food
intolerance
VITAL SIGNS & DEMOGRAPHICS
Parameter Value
Age 68 years
1|Page
,Height 5'6" (168 cm)
Weight 165 lb (75 kg)
BMI 26.7 (overweight)
Blood Pressure 142/88 mmHg (elevated)
Heart Rate 92-105 bpm (tachycardic)
Respiratory Rate 18 breaths/min
Temperature 99.2°F (37.3°C) (low-grade fever)
SpO₂ 98% on room air
PAST MEDICAL HISTORY (PMH)
Condition Status
Hypertension Longstanding
Type 2 Diabetes Mellitus Present
Hyperlipidemia Present
Gallstones History of, gallbladder intact
PAST SURGICAL HISTORY (PSH)
Procedure Time Frame
Hysterectomy with fibroid removal 2 years ago
Cholecystectomy (gallbladder removal) 15 years ago (note: this creates discrepancy with "gallbladder
intact" in some versions)
MEDICATIONS
Medication Dose Purpose
Lisinopril 20 mg daily Hypertension
Atorvastatin 40 mg daily Hyperlipidemia
Metformin 1000 mg BID Type 2 diabetes
Aspirin 81 mg daily Antiplatelet
Citrucel As needed Fiber supplement
Omeprazole 20 mg daily GERD (some versions)
2|Page
, Allergies: No known drug allergies
SOCIAL HISTORY
Factor Details
Smoking Former smoker (0.5 pack/day for 20 years, quit 15 years ago)
Alcohol Occasional at social events
Lifestyle Sedentary
HISTORY OF PRESENT ILLNESS (HPI) – COMPLETE Q&A
OPEN-ENDED QUESTIONS (Start Here)
Question Expected Response Clinical Significance
"How can I help you today?" / "What brings you to the clinic?" "My stomach hurts. It started 2 days ago
after dinner and has gotten worse." Establishes chief complaint; sudden onset suggests acute process
"Do you have any other symptoms or concerns we should discuss?" "I've thrown up some too."
Identifies associated symptoms (nausea/vomiting)
"What symptom is the most distressing for you?" "The pain. It just won't go away."
Prioritizes the pain as primary concern
OLD-CARTS QUESTIONS FOR ABDOMINAL PAIN
ONSET
Question Expected Response
"When did your abdominal pain start?" "2 days ago. It came on suddenly after dinner."
"What were you doing when the pain started?" "I had just finished eating a fatty meal."
LOCATION
Question Expected Response
"Where exactly is the pain located?" "In the middle of my abdomen around the belly button, but now
it's more on the right side."
"Does the pain go anywhere else?" "It goes to my back."
DURATION
3|Page
